| Sanford Internal Medicine Clinic | |
|
1321 W 22nd St Sioux Falls SD 57105-1502 | |
| (605) 404-4000 | |
| (605) 312-9091 |
| Full Name | Sanford Internal Medicine Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 1321 W 22nd St, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Tony Lee Morrison (VICE PRESIDENT, REVENUE CYCLE) |
| Authorized Official Contact | 6053288380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanford Internal Medicine Clinic Po Box 5074 Sioux Falls SD 57117-5074 Ph: (605) 328-6585 | Sanford Internal Medicine Clinic 1321 W 22nd St Sioux Falls SD 57105-1502 Ph: (605) 404-4000 |
| NPI Number | 1821011768 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 11/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821011768 | NPI | - | NPPES |
| 0537886 | Medicaid | IA | |
| 281988100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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